Psychology & Health最新文献

{"title":"The value of using motivational theory to understand active transport behaviors: a qualitative study of a community-based E-bike project.","authors":"Karin Weman, Sofia Sepideh Soheili Shemirani, Jenny Back, Pernilla Hedström, Mark B Andersen","doi":"10.1080/08870446.2025.2479113","DOIUrl":"10.1080/08870446.2025.2479113","url":null,"abstract":"<p><strong>Aim: </strong>The purpose of this study was to investigate the motivations behind participants' choices of active transport using electric bicycles over passive transport (e.g. going by bus or car) in a community-based e-bike project called 'Elcyklist'.</p><p><strong>Methods: </strong>This study involved 17 participants who had previously taken part in the Projekt Elcyklist in the Halmstad community. The participants ranged in age from 32 to 66 years, with an average age of 44 years. The group consisted of 10 women and 7 men.</p><p><strong>Results: </strong>We found two major themes and seven subthemes around positive experiences and benefits as motivations for using e-bikes.</p><p><strong>Conclusions: </strong>From analyzing the data, themes and subthemes were identified. The results are divided into two major themes: Experience of well-being and Benefits in everyday life, which consist of four and three subthemes respectively. In keeping with self-determination theory, the interpretation was that participants' basic psychological needs were satisfied by using e-bikes, which, in turn, improved well-being and sustainable motivation. The study showed that the opportunity to borrow an e-bike can be a good way to promote motivation for active transportation, appeasing traffic congestions in current infrastructure, and also promoting human health.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"803-821"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Help-seeking in A&E for Functional Neurological Disorder (FND): a mixed methods study of patient experiences of a war on two fronts.","authors":"Zachary Chan, Jane Ogden, Shelley Cummings, Bethan Garner, Mohammad Arbabi","doi":"10.1080/08870446.2025.2491589","DOIUrl":"10.1080/08870446.2025.2491589","url":null,"abstract":"<p><strong>Objective: </strong>This mixed-method study aimed to i) describe characteristics of those who attend A&E frequently (FAs) with and without Functional Neurological Disorder (FND); ii) to explore patients' with FND's experiences of help-seeking in A&E.</p><p><strong>Methods and measures: </strong>First, a database of NHS FAs (10+ times in a year; <i>n</i> = 99) from one hospital was analysed. Next, FAs with FND (<i>n</i> = 6) were interviewed about their help-seeking.</p><p><strong>Results: </strong>From stage 1, 61% of all FAs were female, had visited A&E a mean of 16 times in the past 12 months and had been referred to a wide range of clinics. No significant differences were found between FND (<i>n</i> = 11) and non FND patients (<i>n</i> = 88). In Stage 2, thematic analysis described four main themes: i) 'symptom experience'; ii) 'feelings of isolation'; iii) 'Healthcare Professional (HCP) barriers to care'; iv) 'HCP perseverance'. Transcending these themes was a transition from uncertainty to judgement as patients eventually obtained a diagnosis of FND. Overarching all themes was the sense of FND as a war on two fronts as patients battled both their symptoms and the health care system.</p><p><strong>Conclusion: </strong>Help seeking for FND involves a battle which may be improved by educating HCPs and offering a specialised clinic.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"877-896"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding daily problematic social media use of young adults: the role of trait- and state-fear of missing out.","authors":"Xuemei Gao, Jiayu Li, Xujia Bai, Yuhong Zhou, Xintong Jiang","doi":"10.1080/08870446.2025.2491588","DOIUrl":"10.1080/08870446.2025.2491588","url":null,"abstract":"<p><p>Fear of missing out (FoMO) is strongly associated with problematic social media use (PSMU) in young adults; however, little is known about the different roles of trait-FoMO and state-FoMO in PSMU. This longitudinal study used 9-consecutive-day ecological momentary assessment (EMA) to investigate the momentary association between state-FoMO and PSMU and to determine whether such association is moderated by trait-FoMO. We used EMA to measure three daily social media use variables (i.e. craving, time spent on social media, and daily social media self-control failure) to determine daily PSMU. 129 female undergraduates (M_age = 20.48, SD = 1.47) completed a total of 4290 EMA surveys. All main variables were significantly and positively correlated with each other at baseline. Multilevel models revealed that the association of momentary state-FoMO with PSMU was significantly positive. Furthermore, trait-FoMO only moderated the positive association between daily state-FoMO and craving. Specifically, trait-FoMO enhanced the influence of daily state-FoMO on craving, and individuals with lower state-FoMO were more susceptible to the effects of trait-FoMO than individuals with higher state-FoMO. Different implications of trait-FoMO and state-FoMO are discussed particularly regarding their potential to increase the risk of young adult PSMU.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"864-876"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A self-determination theory perspective of motivations for cannabis-related harm reduction behaviours: evaluation of an expanded and adapted Treatment Self-Regulation Questionnaire.","authors":"Dylan K Richards, Matison W McCool, Matthew R Pearson","doi":"10.1080/08870446.2025.2489945","DOIUrl":"10.1080/08870446.2025.2489945","url":null,"abstract":"<p><strong>Objective: </strong>We sought to evaluate an expanded and adapted version of the Treatment Self-Regulation Questionnaire (TSRQ) to assess the internalization continuum of motivation per self-determination theory (SDT) for responsible cannabis use and cannabis protective behavioural strategies (PBS).</p><p><strong>Methods and measures: </strong>We recruited 1,196 college students (Study 1) and 1,409 adults (Study 2) who reported past-month cannabis to complete online surveys; a random sample of 501 adults in Study 2 completed a follow-up survey one month later.</p><p><strong>Results: </strong>We found support for a 3-factor exploratory structural equation model of a 26-item TSRQ representing autonomous motivation, controlled motivation, and amotivation. Associations of the TSRQ with cannabis outcomes were consistent with SDT such that greater autonomous motivation was associated with more frequent cannabis PBS use (e.g. 'Limit use to weekends'). In contrast, greater controlled motivation and amotivation were associated with more negative cannabis-related consequences and more severe cannabis use. Differences emerged for instructions referencing responsible cannabis use versus cannabis PBS in Study 1.</p><p><strong>Conclusions: </strong>The results support the use of the expanded and adapted TSRQ to assess motivations per SDT for cannabis harm reduction behaviours. These findings warrant replication and suggest that responsible cannabis use is conceptualized to be distinct from cannabis PBS.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"822-845"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'Nobody wants to talk about that stuff': a qualitative investigation of the anticipated public perceptions of individuals with Inflammatory Bowel Disease.","authors":"Elia-Jade Edwards, Megan Oaten, Darren Wishart","doi":"10.1080/08870446.2025.2493872","DOIUrl":"10.1080/08870446.2025.2493872","url":null,"abstract":"<p><strong>Objective: </strong>Little research has explored in-depth qualitative opinions on anticipated public views of Inflammatory Bowel Disease (IBD) among those with the condition, and the potential impact of these views on wellbeing. This study explored the perceptions and reactions anticipated by those with IBD from the public (<i>RQ1</i>), and the impact these anticipated perceptions have on participants' physical and psychological health, and their quality of life (<i>RQ2).</i></p><p><strong>Method: </strong>Twenty participants (aged 18-56 years) were recruited <i>via</i> Crohn's and Colitis Australia and online IBD support forums. Individual, semi-structured interviews were conducted with participants. To avoid researcher bias, two independent data coders conducted thematic analysis to identify themes and subthemes.</p><p><strong>Results: </strong>The themes identified by both coders were further examined and reported. Four themes were identified: (1) poor public awareness of IBD; (2) difficulties with disclosure; (3) emotional and social public reactions; and lastly, (4) 'self-exclusion'. Most participants indicated that their physical health and quality of life are <i>not</i> impacted by their anticipated views, however, some participants reported that their psychological health is impacted.</p><p><strong>Conclusion: </strong>This study uncovered the adverse impact of anticipated public views on psychological health. Regarding study implications, self-excluding behaviours should be routinely assessed in clinical practice.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"897-917"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of psychological factors in patients' choices to see their general practitioner or pharmacist for minor conditions.","authors":"Andrew Prestwich, Emma Gerrard, Kate Panniker","doi":"10.1080/08870446.2025.2493885","DOIUrl":"10.1080/08870446.2025.2493885","url":null,"abstract":"<p><strong>Objective: </strong>UK-based patients can consult with, and be treated by, pharmacists for various minor medical conditions. However, research needs to identify the psychological factors that influence patients' decisions to consult with a pharmacist over alternative treatment responses. The current study addressed this gap.</p><p><strong>Methods and measures: </strong>UK residents (<i>N</i> = 329) completed measures of respect and trust for general practitioners (GPs) and pharmacists, alongside other measures that could influence treatment choices. Participants then read vignettes describing symptoms of conjunctivitis, influenza, and contact dermatitis and were asked to choose how they would respond if they experienced those symptoms.</p><p><strong>Results: </strong>Participants were nearly twice as likely to choose to see their pharmacist than GP. Respect and trust of pharmacists were higher for those choosing to see their pharmacist over those selecting treatment alternatives. GPs were respected more than pharmacists, an effect mediated by greater perceived assertiveness and morality of GPs. However, seeing pharmacists was rated less hassle and participants reported greater self-efficacy for seeing them compared to GPs.</p><p><strong>Conclusion: </strong>Strategies that increase pharmacists' perceived assertiveness and morality could enhance respect and trust of pharmacists. Such changes could facilitate the current drive in the UK to utilize pharmacies more to minimise GP service demand.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"783-802"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vertical and horizontal trust in relation to post-pandemic resilience: threat and coping appraisal-based pathways across health-crisis contexts and over time.","authors":"Le-Yi Zhang, Yi-Hui Christine Huang","doi":"10.1080/08870446.2026.2677079","DOIUrl":"https://doi.org/10.1080/08870446.2026.2677079","url":null,"abstract":"<p><strong>Objective: </strong>This study examines how vertical (institutional) and horizontal (in-group social) trust relate to post-pandemic resilience through threat appraisals (perceived severity and loss-based negative emotions) and coping appraisal (self-efficacy), and whether these associations remain stable across health-crisis contexts and over time.</p><p><strong>Methods and measures: </strong>Structural equation modelling was conducted using three Hong Kong datasets: the post-pandemic cross-sectional COVID-19 (<i>N</i> = 1,913) and the respiratory infectious disease sample (<i>N</i> = 1,498), and a two-wave COVID-19 panel spanning the intra- to post-pandemic period (<i>N</i> = 694).</p><p><strong>Results: </strong>Across the two cross-sectional datasets, vertical trust was positively associated with resilience through self-efficacy, whereas horizontal trust was positively associated with resilience through self-efficacy but negatively associated through threat appraisals. Equality-constraint tests across two datasets further showed that horizontal trust had stronger associations with resilience and both appraisals than vertical trust, and that its direct and coping appraisals to resilience were more stable across health-crisis contexts. Longitudinally, only intra-pandemic horizontal trust remained positively associated with post-pandemic resilience through coping appraisal, whereas vertical trust showed a limited long-term association.</p><p><strong>Conclusion: </strong>The effect of horizontal trust on resilience appears more robust across contexts and time, particularly through self-efficacy, whereas vertical trust appears more contemporaneous and less durable.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1-33"},"PeriodicalIF":1.9,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148016889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes to autonomous motivation and reductions in amotivation led to positive mental health in overweight male football fans: a causal mediation analysis of the European fans in training (EuroFIT) trial.","authors":"Øystein Bue Røynesdal, Otto R F Smith, Glyn C Roberts, Femke van Nassau, Judith G M Jelsma, Sally Wyke, Cindy M Gray, Hugo V Pereira, Eivind Andersen, Marlene N Silva, Marit Sørensen","doi":"10.1080/08870446.2026.2677081","DOIUrl":"https://doi.org/10.1080/08870446.2026.2677081","url":null,"abstract":"<p><strong>Objective: </strong>Do post-program motivational regulations mediate the intervention effect of the SDT-based European Fans in Training (EuroFIT) program on self-esteem, well-being and vitality at 12-months follow-up?</p><p><strong>Methods: </strong>A causal mediation analysis of data from the randomised controlled trial of the EuroFIT program that recruited 1113 overweight, male football fans in England, Norway, Portugal and the Netherlands.</p><p><strong>Results: </strong>We found evidence of indirect effects of autonomous motivation on vitality (<i>b</i>=.487, 95% CI: .229, .767, <i>p<</i>.001) well-being (<i>b</i>=.063, 95% CI: .003, .131, <i>p</i>=.038) and self-esteem (<i>b</i>=.491, 95% CI: .278, .701, <i>p</i><.001), but not controlled motivation, at 12-months follow-up in the EuroFIT trial. We also found that reductions in amotivation at post-program partly explained positive increases across outcomes at 12-months follow-up. When controlling for increases in outcome variables at post-program, only the mediating effect of autonomous motivation on self-esteem remained significant, whereas the indirect pathway through reductions in amotivation remained significant for all outcomes. None of the indirect effects were robust to potential mediator-outcome confounding.</p><p><strong>Conclusion: </strong>EuroFIT program produced small-to-moderate improvements in vitality, well-being, and self-esteem at 12-month follow-up that were partly explained by post-program increases in autonomous motivation and reductions in amotivation. All indirect effects estimates were sensitive to potential mediator-outcome confounding.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1-20"},"PeriodicalIF":1.9,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148016747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intergenerational taint perception: a context-sensitive meaning system shaping social responses to chronic illness.","authors":"Elvin Yao, Zhigang Zhu, Chunhui Wang, Jianwen Hui","doi":"10.1080/08870446.2026.2677083","DOIUrl":"https://doi.org/10.1080/08870446.2026.2677083","url":null,"abstract":"<p><strong>Objective: </strong>Chronic illness is interpreted not only in terms of personal symptoms, but also through broader systems of meaning concerning family continuity and future generations. The present research introduces Intergenerational Taint Perception (ITP), a psychological meaning system through which individuals understand their illness as having symbolic and relational implications for their family line and descendants, independent of confirmed biological transmission.</p><p><strong>Methods and measures: </strong>Across three studies with patient samples in China (total N = 942), we examined the emergence, structure, and behavioral consequences of ITP using qualitative, psychometric, and experimental methods. Study 1 used qualitative interviews with individuals living with Parkinson's disease to identify recurring intergenerational concerns in illness narratives. Study 2 developed and validated a 12-item ITP scale and examined its factor structure and discriminant validity from internalized stigma and attributional beliefs. Study 3 experimentally examined ITP across Parkinson's disease, type 2 diabetes, and ischaemic stroke, assessing protective buffering and willingness to seek formal support.</p><p><strong>Results: </strong>Study 1 identified recurring concerns regarding descendants, family continuity, and anticipated burden in illness narratives. Study 2 supported a stable two-factor structure of ITP and demonstrated discriminant validity from internalized stigma and attributional beliefs. Study 3 showed that family-focused attention selectively increased ITP under conditions of perceived hereditary ambiguity. Elevated ITP predicted greater protective buffering and reduced willingness to seek formal support, and accounted for experimental effects beyond internalized stigma.</p><p><strong>Conclusion: </strong>These findings identify ITP as a distinct form of intergenerational illness meaningmaking that shapes health behavior. The results highlight the importance of family- and future-oriented interpretations of illness and suggest new targets for intervention in family-centerd health contexts.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1-22"},"PeriodicalIF":1.9,"publicationDate":"2026-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148016914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does personalization improve the effectiveness of app-based mobile health interventions on physical activity? A systematic review and meta-analysis.","authors":"Victoria E Hill, Kaileigh A Byrne, Delaini Daughenbaugh, Matthew Caymol","doi":"10.1080/08870446.2026.2677085","DOIUrl":"https://doi.org/10.1080/08870446.2026.2677085","url":null,"abstract":"<p><strong>Objective: </strong>The primary study aim is to evaluate the impact of app-based mobile Health (mHealth) interventions on physical activity in healthy populations and examine whether personalisation moderates their effectiveness. The secondary aim is to explore the potential moderating role of social features.</p><p><strong>Methods and measures: </strong>A systematic review and meta-analysis examined the effect of mHealth apps on physical activity, measured by step count, moderate-to-vigorous physical activity (MVPA), or total activity. A total of 16,257 articles were identified <i>via</i> five databases in November 2023. After screening, 20 studies (<i>n</i> = 2,159 participants) were included with 23 total comparisons between postintervention and control groups.</p><p><strong>Results: </strong>Random effects model results for all eligible studies showed a small-to-medium effect of mHealth apps in increasing physical activity compared to controls (<i>g</i> = 0.42, 95% CI [0.1540, 0.6874]; <i>p</i> = 0.002). Personalisation <i>p</i> = 0.22), social features (<i>p</i> = 0.12), and intervention duration <i>p</i> = 0.99) did not predict physical activity. However, a sensitivity analysis for step count only showed a negative effect of social features on step count (β=-0.50, <i>p</i> = 0.02).</p><p><strong>Conclusion: </strong>While mHealth interventions increase physical activity, personalisation features do not significantly influence their effectiveness. Additional research is needed to elucidate the impact of mHealth social features and potential individual difference factors on intervention effectiveness.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1-20"},"PeriodicalIF":1.9,"publicationDate":"2026-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148016908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}